HEALTHCARE PSYCHIATRY LLC (NPI# 1104338490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104338490 |
| Entity Type | Organization |
| Organization Name | HEALTHCARE PSYCHIATRY LLC |
| Practice Address |
3865 E Lohman Ave Ste 2 Las Cruces NM 88011-8292 |
| Practice Telephone | 5759151538 |
| Mailing Telephone | 5759151538 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | YAZID ATIEH (OWNER/PHARMACIST CLINICIAN) |
| Authorized Official Telephone | 5759151538 |
| Authorized Official Credential | PHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
16402 | NM | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
16402 | NM | Ambulatory Health Care Facilities |
| Street Address |
3865 E LOHMAN AVE STE 2 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538575071 | Yazid Atieh | Pharmacist | 3865 E Lohman Ave Ste 2, Las Cruces, NM 88011-8292 | 2014-07-04 |
| 1134599202 | Express Trade | Durable Medical Equipment & Medical Supplies | 3865 E Lohman Ave Ste 2, Las Cruces, NM 88011-8292 | 2015-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730698309 | Equine Assisted Programs of Southern New Mexico LLC | Clinic/Center | 190 Providence Road, Las Cruces, NM 88007 | 2017-09-26 |
| 1033546486 | New Mexico State University | Clinic/Center | Corner of Stewart Street and Sweet Avenue, New Mexico State University O'donnell Hall #047, Las Cruces, NM 88003-0005 | 2013-10-01 |
| 1437684727 | Sacred Mountain Health and Wellness Center LLC | Clinic/Center | 275 N Main St, Ste 3, Las Cruces, NM 88001-1274 | 2017-04-25 |
| 1659708576 | La Fronter Center Inc. Dba La Frontera New Mexico, Inc. | Clinic/Center | 125 S Main St, Las Cruces, NM 88001-1270 | 2013-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215557194 | Firststeps Autism Evaluations LLC | Clinic/Center | 1601 Ridgecrest Dr Se, Albuquerque, NM 87108-4436 | 2020-04-21 |
| 1205472578 | Jennifer S Schneider LLC | Clinic/Center | 7007 Wyoming Blvd Ne Ste F1, Albuquerque, NM 87109-3983 | 2019-11-21 |
| 1619536141 | Child Counseling Center and Play Therapy Institute of New Mexico | Clinic/Center | 1400 Maclovia St Ste 1, Santa Fe, NM 87505-3253 | 2019-06-09 |
| 1023574431 | Trauma Recovery Services, LLC | Clinic/Center | 6121 Indian School Rd Ne Ste 235, Albuquerque, NM 87110-4172 | 2019-02-11 |
| 1386138451 | Inner Peak Youth Counseling, LLC | Clinic/Center | 11000 Candelaria Rd Ne, Albuquerque, NM 87112-1751 | 2018-06-21 |
| 1063929826 | A New Leaf Counseling Services, LLC | Clinic/Center | 5005 4th St Nw Ste 201, Albuquerque, NM 87107-3916 | 2018-01-02 |
| 1770092454 | Blue Sky Therapeutic Services Inc. | Clinic/Center | 7 Tierra Madre Rd, Placitas, NM 87043-9400 | 2017-09-25 |
| 1356733158 | Southwest Pueblo Consultants and Counseling Services, LLC | Clinic/Center | 5020 San Pedro Ct Ne, Albuquerque, NM 87109-2515 | 2015-03-03 |
| 1194120162 | Audra Carrie May | Clinic/Center | 5301 Sequoia N.w., Albuquerque, NM 87120 | 2014-11-03 |
| 1639444920 | Ricardo Gonzales, Ph.d., Psychological Services, LLC | Clinic/Center | 168 Ave. Ponderosa, Glorieta, NM 87535 | 2012-03-20 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.